Individual
MS. KATHERINE ANNE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11830 BRANDON OAKS, SAN ANTONIO, TX 78253-5816
(210) 812-0079
Mailing address
11830 BRANDON OAKS, SAN ANTONIO, TX 78253-5816
(210) 812-0079
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
906920
TX
163WC0400X
Case Management Registered Nurse
906920
TX
163WH0200X
Home Health Registered Nurse
906920
TX
163WH1000X
Hospice Registered Nurse
906920
TX
163WP0200X
Pediatric Registered Nurse
906920
TX
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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